Abstract:
PURPOSE:Newly diagnosed swallowing dysfunction is rare, with an incidence <1% in hospitalized patients. The purpose of this study was to evaluate the incidence and clinical characteristics of dysphagia in elderly trauma patients specifically. METHODS:Patients ≥75years who had newly diagnosed swallowing dysfunction were identified by retrospective review of our institutional trauma database from 2009-2012. A comparison group without dysphagia was also identified that was matched by age, gender, injury mechanism, and injury severity score (ISS). Relevant demographics, injury characteristics, and potential factors associated with dysphagia were collected. RESULTS:1323 patients met criteria. Of these, 56(4.2%) had newly identified dysphagia. Cases and controls were similar in regards to regional injury pattern (AIS). Patients with dysphagia had a mean Charlson Comorbidity Index (CCI) of 3.7 vs. 1.9 for patients without dysphagia (p<0.01). Patients with dysphagia also had longer hospital (11.4 vs. 5.8days, p<0.01) and ICU LOS (5.6 vs 1.9days, p<0.01). On multivariable regression, CCI greater than 3 (OR 7.2, p<0.001), in-hospital complications (OR 9.6, p<0.01), and ICU LOS greater than 2days (OR 1.5, p<0.05) were independently associated with the diagnosis of dysphagia. CONCLUSIONS:Elderly trauma patients with a high comorbidity burden or with prolonged ICU lengths of stay should be screened for dysphagia.
journal_name
J Crit Carejournal_title
Journal of critical careauthors
Laan DV,Pandian TK,Jenkins DH,Kim BD,Morris DSdoi
10.1016/j.jcrc.2017.07.027subject
Has Abstractpub_date
2017-12-01 00:00:00pages
324-327eissn
0883-9441issn
1557-8615pii
S0883-9441(16)30239-8journal_volume
42pub_type
杂志文章abstract:BACKGROUND:It is known that acute respiratory distress syndrome and acute lung injury are independent risk factors for developing acute kidney injury (AKI) through complex pathophysiologic mechanisms. Our specific aim is to evaluate the risk factors for AKI postburn injury and whether inhalation thermal injury is an in...
journal_title:Journal of critical care
pub_type: 杂志文章
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更新日期:2017-04-01 00:00:00
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journal_title:Journal of critical care
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更新日期:2012-10-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2011-04-01 00:00:00
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pub_type: 历史文章,杂志文章
doi:10.1016/j.jcrc.2005.02.003
更新日期:2005-03-01 00:00:00
abstract::The events of the 2009 influenza pandemic sparked discussion regarding the need to optimize delivery of care to those most severely ill. We propose in this conceptual study that a tiered regionalization care system be instituted for patients with severe acute respiratory distress syndrome. Such system would be a compo...
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更新日期:2013-06-01 00:00:00
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doi:10.1053/jcrc.2002.33032
更新日期:2002-03-01 00:00:00
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journal_title:Journal of critical care
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journal_title:Journal of critical care
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更新日期:2018-08-01 00:00:00
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更新日期:2015-02-01 00:00:00
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journal_title:Journal of critical care
pub_type: 杂志文章,评审
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更新日期:2019-02-01 00:00:00
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journal_title:Journal of critical care
pub_type: 杂志文章
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更新日期:2010-03-01 00:00:00
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journal_title:Journal of critical care
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2015-12-01 00:00:00
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journal_title:Journal of critical care
pub_type: 杂志文章
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更新日期:2016-02-01 00:00:00
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journal_title:Journal of critical care
pub_type: 杂志文章
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更新日期:1998-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.jcrc.2019.12.019
更新日期:2020-04-01 00:00:00